FAGERSTORM TEST FOR NICOTINE DEPENDENCE (ADULTS)
Please kindly answer the following questions to help us determine your level of nicotine dependence. Tick one answer as appropriate.
How soon after you wake up do you smoke your first cigarette?
Within 5 minutes
6-30 minutes
31-60 minutes
After 60 minutes
Do you find it difficult to refrain from smoking in the places where it is forbidden (e.g, in church, at the library, in cinema)?
Yes
No
Which cigarette would you hate most to give up
The first one in the morning
Any other
How many cigarettes per day do you smoke?
10 or less
11 – 20
21 – 30
31 or more
Do you smoke more frequently during the first hours after waking than during the rest of the day?
Yes
No
Do you smoke if you are so ill that you are in bed most of the day?
Yes
No
Submit
Should be Empty: